Multi-Modal Simulation to Prepare Final Year Nursing Students for Transition to Clinical Practice: A Mixed Methods Study

IF 3.4 3区 医学 Q1 NURSING
Sok Ying Liaw PhD, RN , Khairul Dzakirin Bin Rusli BSc (Hons), RN , Laura Tham Schmidt M Geront, RN , Chiew Jiat Rosalind Siah PhD, RN , Lisa McKenna PhD, RN , Yan Hui Celestine Wee M Geront, RN , Nicholas Wee Siong Neo BSc (Hons), RN , Siew Tiang Lau PhD, RN , Betsy Seah PhD, RN
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Abstract

Background

With the wide spectrum of simulation modalities, combining different modalities may support the development of complex clinical skills that can prepare nursing students for making the transition to graduate nurse practice.

Aim

To describe the design and evaluation of a multi-modal simulation to facilitate final-year nursing students’ transition to clinical practice.

Methods

A mixed methods study design was employed to evaluate the multi-modal simulation. Pre and post-tests were conducted to evaluate final-year nursing students’ readiness for clinical practice. Individual interviews were conducted to evaluate long-term impact on clinical practice.

Result

The students reported significant improvement (p < .001) in their readiness for their clinical practice. Three themes emerged for the impact on their clinical practice: self-efficacy in clinical procedures; metacognitive awareness for transfer of learning; and beyond communication to building relationships.

Conclusion

The multi-modal simulation has an immediate effect on improving nursing students’ readiness for clinical practice. It also has a significant clinical impact on enhancing their self-efficacy in performing clinical procedures and metacognitive awareness as they migrate into the real clinical world.

多模式模拟为护理专业毕业班学生过渡到临床实践做好准备:混合方法研究
背景随着模拟模式的广泛应用,将不同的模式结合起来可能有助于发展复杂的临床技能,从而为护理专业学生过渡到研究生护理实践做好准备。目的描述一种多模式模拟的设计和评估,以促进最后一年护理专业学生向临床实践的过渡。进行了前测和后测,以评估毕业班护生对临床实践的准备情况。结果学生们表示,他们的临床实践准备程度有了显著提高(p < .001)。对临床实践的影响有三个主题:临床程序中的自我效能感;学习迁移的元认知意识;以及从交流到建立关系。多模式模拟对提高护理专业学生的临床实践准备程度有立竿见影的效果,对提高他们执行临床程序的自我效能感和元认知意识也有重要的临床影响,因为他们已经进入了真实的临床世界。
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来源期刊
CiteScore
5.50
自引率
15.40%
发文量
107
期刊介绍: Clinical Simulation in Nursing is an international, peer reviewed journal published online monthly. Clinical Simulation in Nursing is the official journal of the International Nursing Association for Clinical Simulation & Learning (INACSL) and reflects its mission to advance the science of healthcare simulation. We will review and accept articles from other health provider disciplines, if they are determined to be of interest to our readership. The journal accepts manuscripts meeting one or more of the following criteria: Research articles and literature reviews (e.g. systematic, scoping, umbrella, integrative, etc.) about simulation Innovative teaching/learning strategies using simulation Articles updating guidelines, regulations, and legislative policies that impact simulation Leadership for simulation Simulation operations Clinical and academic uses of simulation.
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